Form 1040me - Maine Individual Income Tax - Long

Form 1040me - Maine Individual Income Tax - Long - 2001 Page 4

Name(s) as shown on Form 1040ME

Your Social Security Number

*Except in the case of a surviving spouse, eligible

pension income does not include benefits earned by another person. Only the individual that earned the benefit from prior employment may

claim the pension income for the deduction. However, a widowed spouse receiving survivor’s benefits under an eligible pension plan may

claim that amount for purposes of this deduction, but the total pension deduction for the surviving spouse may not exceed $6,000.

1. Total eligible non-military pension income (both Maine and non-Maine sources) included in your federal

Taxpayer

Spouse*

adjusted gross income (from federal form 1040A, line 12b or Form 1040, line 16b). (Do not include

social security or railroad retirement benefits received or pension benefits received from an individual

retirement account, simplified employee pension plan, an ineligible deferred compensation plan, lump

1. $

sum distributions, or refunds of excess contributions).

2. Maximum allowable deduction

2. $

6,000.00

3. Total social security and railroad retirement benefits you received - whether taxable or not

3. $

4. Subtract line 3 from line 2 (if zero or less, enter zero)

4. $

5. Enter the smaller of line 1 or line 4 here

5. $

6. Total eligible military pension income

6. $

7. Add line 5 and line 6

7. $

8. Enter the smaller of line 2 or line 7 here and the total for both spouses on Schedule 1, line 2d (page 17) 8. $

*Use this column only if filing a married-joint return and only if spouse separately earned an eligible pension.

Form 1040me - Maine Individual Income Tax - Long - 2001 Page 4